Samuel P Harn Museum of Art Internship Application Form

Samuel P Harn Museum of Art Internship Application Form Please type or print clearly in blue or black ink and answer all questions completely. Include additional sheets if necessary. First Name Last Name Other names used Current Address Valid through (date) _ City State ZIP Code Country of citizenship _ Current telephone number UF ID # GatorLink E-mail address Permanent address City State ZIP Code Indicate which semester(s) & year you are applying for: Fall 20 Spring 20 Summer 20 Are you applying for course credit for this internship? Yes No Undecided Are you enrolled in the UF Museum Studies program? Yes No Indicate funded scholarships for which you would like to be considered. (Please refer to page 8 in the instructions for more information about funded scholarship availability and requirements.) The E. Robert Langley Scholarship The Dixie Neilson Museum Studies Registration Internship The Criser Internship 1

Department and Project Selection Please list three Harn departments, supervisors and projects in which you would like to work, with 1 denoting the department in which you are most interested. For a list of current project descriptions, go to www.harn.ufl.edu and click Get Involved and then Internships Only if you are submitting a student-initiated proposal (optional), indicate this in the project space by writing SIP and follow the guidelines on the last page in this packet. All applicants for graphic design projects must submit 3 examples of their work along with the application. 1. Department and Supervisor Project 2. Department and Supervisor Project 3. Department and Supervisor Project Availability Information The following information is necessary for proper internship placement. Please note that most museum staff members work a standard work week (8 AM to 5 PM, M-F), although the Harn Museum of Art is open to the public Tuesday through Friday from 11 AM to 5 PM, Saturday from 10 AM to 5 PM, and Sunday from 1 PM to 5 PM. Please keep these hours of operation in mind as you make a tentative schedule; work hours will ultimately be dictated by the requirements of the specific internship for which you are applying. I am prepared to work the required number of hours as indicated in the project description. Yes No Anticipated weekly availability (days/hours): 2

Education List the university or institution at which you are currently enrolled (if applicable). University/Institution name Location Type of degree, diploma, or certificate sought Anticipated month/year of completion Major area(s) of study Minor area(s) of study Graduate or Undergraduate Your Previous College/University Education School Location Dates attended Degree/Major/Program of Study Describe any research and/or projects undertaken, that are relevant to the internships for which you have applied: Skills List working knowledge of languages other than English: READING CONVERSATIONAL READING CONVERSATIONAL READING CONVERSATIONAL If English is not your native language, please rate your English skills: Reading: (circle one) Average Good Excellent Speaking: (circle one) Average Good Excellent Writing: (circle one) Average Good Excellent 3

Skills (continued) Describe your computer skills and software knowledge: List other relevant skills: Experience List applicable paid or volunteer work experience, including internships. Note: Even if you attach a résumé, this section must be completed. Name and address of organization Dates worked Job title and duties Circle one: Paid Volunteer Name and address of organization Dates worked Job title and duties Circle one: Paid Volunteer 4

Experience (continued) Name and address of organization Dates worked Job title and duties Circle one: Paid Volunteer References Names of two persons with whom you have studied with or worked for whom will serve as references and have been asked for recommendation forms. These should be employment or academic references, not personal friends or relatives. Name Position E-mail address Telephone number Name Position E-mail address Telephone number Criminal History Have you ever been convicted of a crime, pled guilty or no contest to a crime, had adjudication withheld and/or prosecution deferred, driving under the influence, driving while intoxicated or other traffic convictions? If no, please enter N/A. If yes, please give exact dates and details: Please tell us how you learned about the Harn Internship opportunity: 5

Signature I authorize and release the University of Florida to verify all information submitted in support of my application, including but not limited to my application and résumé. I certify that the application and/or résumé submitted are a complete and accurate description of my work experience, education and background. I further certify that the answers to the above questions are true and complete to the best of my knowledge. I understand that acceptance into the intern program is contingent upon the results of a background check. Signature Date Remember to include additional required materials listed on page 5 in the instructions. Cover letter (letter of intent) Résumé (optional) Two recommendation forms (pages 8 & 9 of this document) Official transcript Writing or graphic design samples (if appropriate) Background check form (next page) 6

PRINT AND RETURN IN A SEALED ENVELOPE Thank you for your interest in the Harn internship programs. This form will be forwarded to the Harn Museum of Art Human Resources Manager in order to request the required criminal background check. The information provided below will not be viewed by potential supervisors, nor used to evaluate your application. Depending on the nature of your project, you may be instructed to contact the University of Florida Human Resources Services office to schedule a fingerprinting appointment. If contacted, please schedule the appointment as quickly as possible. PLEASE COMPLETE AND RETURN IN A SEPARATE BUSINESS ENVELOPE MARKED ATTENTION: HUMAN RESOURCES MANAGER NAME: Last First Middle ALIAS/MAIDEN: RACE: SEX: Date of Birth: W=White,non- Hispanic UF ID # (if any): CURRENT ADDRESS: B=Black, non- Hispanic H=Hispanic A = Asian/Pacific I=American Indian/Islander Alaskan Native CITY AND STATE OF RESIDENCE FOR THE LAST SEVEN YEARS: EMAIL ADDRESS: 7

Internship Letter of Recommendation Form www.harn.ufl.edu/intern Application Deadlines: Fall-June 1; Spring-Oct. 15; Summer-March 15. NOTE TO APPLICANT: Provide this form to your recommender along with any additional information they may request. Fill in your name and check 1 box below to indicate how the form is to be returned. Recommender, please return this form to: The applicant Internship Program at laynetb@harn.ufl.edu OR Samuel P. Harn Museum of Art University of Florida ATTN: Internship Program P.O. Box 112700 Applicant s Name Gainesville, FL 32611-2700 Reference Contact Information First Name Title Last Name Organization/Affiliation Mailing Address City State Zip Telephone E-mail Relationship to Applicant Recommendations may be letters, short answers or bullet-points. Please address the following. How long and in what capacity have you known the applicant? How is this project significant to the applicant s educational and/or professional development? How would you assess the applicant s ability including: strengths, talents & seriousness of purpose? How does this candidate rank compared to others you have recommended for similar opportunities in recent years? Top % 10% 15% 25% 50% Please state any reservations you have about this applicant s ability to successfully complete this internship. Signature of Recommender Date 8

Internship Letter of Recommendation Form www.harn.ufl.edu/intern Application Deadlines: Fall-June 1; Spring-Oct. 15; Summer-March 15. NOTE TO APPLICANT: Provide this form to your recommender along with any additional information they may request. Fill in your name and check 1 box below to indicate how the form is to be returned. Recommender, please return this form to: The applicant Internship Program at laynetb@harn.ufl.edu OR Samuel P. Harn Museum of Art University of Florida ATTN: Internship Program P.O. Box 112700 Applicant s Name Gainesville, FL 32611-2700 Reference Contact Information First Name Title Last Name Organization/Affiliation Mailing Address City State Zip Telephone E-mail Relationship to Applicant Recommendations may be letters, short answers or bullet-points. Please address the following. How long and in what capacity have you known the applicant? How is this project significant to the applicant s educational and/or professional development? How would you assess the applicant s ability including: strengths, talents & seriousness of purpose? How does this candidate rank compared to others you have recommended for similar opportunities in recent years? Top % 10% 15% 25% 50% Please state any reservations you have about this applicant s ability to successfully complete this internship. Signature of Recommender Date 9